The sequence and rate of development - 2617 Words

Understand Child and Young Person Development Understand the expected pattern of development for children and young people from birth – 19 years Each child and young person will follow an expected pattern of development, focusing mainly the skills they are learning rather than the physical growth. Although when discussed the development of children it focuses on the skills it is undeniable that both skills and growth of children and young people are linked and will impact on the development on the child. Development of children and young people are describe in five different areas; physical, cognitive, communication, social and emotional and moral development. Physical development describes the development of the physical movements.†¦show more content†¦When held upright so their feet are touching the floor a baby at this age will take stepping movements as a reflex movement rather than conscious stepping. Within their first month babies development changes dramatically. They have usually developed into a pattern with most of their time sleeping but starting to spend more time awake. They will cry to communicate their needs with their parents starting to understand the different types of cry indicating the different needs. A baby will starting to recognise the parents or carers voices and may calm when they hear this and will be noticeably trying to focus on the face of the person who is holding them and are able to focus at a range of 20 – 25cm. As a baby progresses to about 3 months old the child would have grown in both height and weight. Babies may have learnt the difference between night and day and may be able to sleep through the night. It is important to note that not all babies develop at the same rate and so not all babies may be sleeping through the night. Parents and carers are more able to understand the differences between their babies cry and hence babies begin to cry less. Due to babies beginning to understand the difference between night day babies will begin to sleep less and start to seam more alert. A baby may be able to lift and turn their heads and notice objects around them such as mobiles. Babies will start to show they recognise theirShow MoreRelatedRate and Sequence of Development Essay3430 Words   |  14 PagesBabies are born at 40 weeks. If a baby is born before the due date, they will be classed as premature. Premature babies generally take longer to meet the early development milestones, Newbor n babies spend more time sleeping than being awake. It is very important to a newborn baby to spend quality time bonding with their primary carer. Babies develop fast during the first four weeks; feeding and sleeping patterns can start to form and will start to communicate through smiling and crying. As fromRead More022 Sequence and Rate of Development3658 Words   |  15 PagesOutcome 1: Understand the Expected Pattern of Development for Children and Young People From Birth to 19 Years Explain the Difference Between Sequence of Development and Rate of Development and Why The Difference is Important. All children develop at different rates, information and sources are only guidelines. These help to monitor what children can and cant do at certain stages in their lives. It also helps to plan effectively to ensure the child gets the attention they need, in the areasRead MoreDifference Between Sequence Development And Rate Of Development1782 Words   |  8 Pagesdifference between sequence of development and rate of development and why the difference is important. There is a definite pattern to a child developing e.g. a toddler being able to walk before they can run. Another may sit up, walk, run missing out rolling over and crawling. Even though elements are missed the development still proceeds in what’s viewed as an expected pattern. Sequenced development also involves patterns and order of development of intellectual growth- sequence can include an orderRead MoreThe Sequence And Rate Of Each Aspect Of Development Essay1499 Words   |  6 Pages The sequence and rate of each aspect of development from birth to 19 years can be broken down into 4 areas such as: Physical development, intellectual development, communication development, social, emotional and behavioral development: 0-3 months Babies can start to grasp things in their hands and are able to feed for e.g. by latching onto the motherà ¢Ã¢â€š ¬TMs breast they can suckle. The colors can be recognized. Babies start to look at the environment. Recognize parents and enjoy repetitive activitiesRead MoreExplain The Sequence And Rate Of Each Aspect Of Development2132 Words   |  9 PagesExplain the sequence and rate of each aspect of development from birth to 19 years. You may find a timeline useful as part of your explanation. Childrenà ¢Ã¢â€š ¬TMs development is continuous and can be measured in a number of different ways. Although all children will develop at different rates and in different ways, the sequence in which they develop will be roughly the same as they need to have developed one skill, for example walking, before they move on to develop another such as running and jumpingRead MoreExplain the Difference Between Sequence of Development and Rate of Development and Why the Difference Is Important922 Words   |  4 PagesExplain the difference between sequence of development and rate of development and why is this difference important. Sequence of development refers to the normal sequence in which children learn different skills, and the rate of development refers to the speed in which a child will develop. However, according to Burnham et al (2010) the difference between the sequence of development and the rate of development is that the sequence refers to the normal or expected sequence in which children learn differentRead MoreExplain the Difference Between Sequence of Development and Rate of Development and Why the Difference Is Important.1465 Words   |  6 PagesOutcome 1.2 Explain the difference between sequence of development and rate of development and why the difference is important. It is important to know the difference between the sequence and the rate of development as it helps to identify the Childs needs during the stages of their school years. It is crucial to plan effectively ensuring the child receives the support they need in the areas they find most difficult in, for example physical development shows a pacific pattern; a baby will learnRead MoreSequence Rate of Child Development from Birth to 19 Years Essay1993 Words   |  8 PagesCT230 1.1 Explain the sequence and Rate of each aspect of development from Birth to 19 years of age Age Group | Physical Development | Communication Development | Intellectual amp; learning Development | Social Development | Emotional and Behavioural Development | Birth to 2 mths | * Usually born around 40 weeks gestation * Has swallowing and sucking reflex * Has rooting reflex * Has grasp reflex * Walking or standing reflex * Gaining about 5-7 ounces per week * Growth aboutRead MoreExplain the Sequence and Rate of Physical Development from Birth to 19 Years2045 Words   |  9 PagesUnit 6 Assessment Criteria 1.1 Explain the sequence and rate of development from birth to 19 years. Physical Development: Gross motor control: 0 – 3 years 1 month: Head droops if unsupported Pulled to sit, head lags Lies with head to one side Large jerky movements of limbs Arms active Turns head from cheek to cheek when on tummy Lifts head momentarily when on tummy Lifts head (bobbing) when held in vertical at shoulder Kicks legs rhythmically 2-3 cyclesRead MoreExplain the Sequence and Rate of Each Aspect of Development from Birth – 19 Years.1300 Words   |  6 PagesExplain the sequence and rate of each aspect of development from birth – 19 years. All children and young people develop at different rates, but the order in which they advance differs very little. Children’s development tends to progress: # from head to toe # from inner to outer # from simple to complex # from general to specific Here we will be looking at each child’s physical development, social and emotional development, intellectual development, and language development. Not one area

Gender Equity in Math and Science Essay - 2572 Words

Gender Equity in Math and Science From the research I have read while there is a disagreement on when and how much of a gender gap exists in math and science, there is definitely an equity issue that needs addressing. There seems to be an abundance of information about equity issues and as a future teacher I feel that it is important to examine these issues. If gender equity issues exist in todays’ classrooms why do they and what can be done to help correct it. Everything Ive read so far states that a gender gap exists in science, while opinions about math vary. I found a paper on the Internet from the National Center for Education Statistics called â€Å"Trends In Educational Equity of Girls Women.† Using information†¦show more content†¦However, the National Center for Education Statistics (2000) reports that females are now doing as well or better than males in school and college and the gender gaps that have existed in most cases have been eliminated. From looking at the graphs p resented in the NCES report if there is a differences in males and females scores the difference was very slight. This leads me to question how big a gender gap actually exists. The NCES report (2000) on science is a little different. It reports that between 1973 and 1994 nine to thirteen year old females were more likely to score lower than males and that seventeen year old females always scored lower. In the early grades girls and boys are equally as interested in science and math as boys and their achievement is comparable, it is in middle school when girls begin to fall behind (M. Sadker, D. Sadker, and Stulberg, 1999). In every article I read there is agreement that there is a gender gap in science and I am convinced that one exists. Why do these gender gaps exist? Researchers believe that cultural and social factors, as well as educational, and attitudinal factors contribute to this gap. Cultural beliefs that boys excel in math and science and that girls excel in the arts can be passed down through generations and adults who may not even realize it are acting on these beliefs (Sanders, 1997). â€Å"Subtle and unintended messages can create the idea among girls and boys that there are fieldsShow MoreRelatedEssay on Gender Equity in Education1632 Words   |  7 PagesGender Equity in Education Gender equity issues in mathematics and science have been the focus of many educators and researchers for years. Women have often been denied an equal education in math and science for many reasons. Parents and teachers must realize this fact and change their habits wherever necessary. Girls must be given the same opportunity as boys from the beginning, particularly in math and science where girls tend to lag behind. First of all, the term gender equityRead More Reflective Research Paper1619 Words   |  7 Pages Gender biases are a problem in many schools and gender equity has been used to help remove those biases. Equity refers to having equal expectations and treating students of different sexes and cultural backgrounds equally. Gender biases have been a problem in education for years. In the past boys and girls have had different expectations when it comes to education. Boys have generally been taught to take leadership roles and girls to take more passive roles. In recent years gender equityRead More Reflective Research Paper1164 Words   |  5 Pagesreflective research paper to objective # 1 because it made me examine my personal belief and attitude on gender equity issues. I did not realize that gender equity existed at the level that it does until researching the topic. Doing the research made me realize that the way we teach directly affects how children learn in every aspect. Gender inequities in the fields of math and science are well researched and the results are shocking. Women compromise 45% of the work force, they hold jobsRead More Gender Equity Essay1321 Words   |  6 PagesGender Equity Are male students and female student’s receiving the same opportunities when it comes to Math and Science in the schools? I don’t believe they are. This is why gender equity is a major problem facing our schools today. Many girls are having very negative attitudes towards Math and Science. Through doing research on this topic I found out why. In the article How Research Helps Address Gender Equity, a very shocking and eye opening thing was written. I learnedRead MoreEssay about Encouraging Girls in Math and Science1599 Words   |  7 PagesEncouraging Girls in Math and Science An ideal classroom in an elementary school would allow both boys and girls to learn fairly, equally, and also be encouraged to be involved in the classroom. The teacher would expect the same effort from the boys as well as the girls. The teacher would implement a respectful atmosphere where the teacher as well as the students would respect one another. The reality is that girls quickly become discouraged to pursue math and/or science related careersRead MoreEssay on Gender Bias in the Classroom1589 Words   |  7 PagesGender Bias in the Classroom RESEARCH IN CHILD DEVELOPMENT AND THEORIES OF LEARNING Gender inequity is not only learned and accepted in the socialization process that starts at home, but is also present in the school environment form the very early years. Parents and teachers consciously or unconsciously reinforce sex stereotypes. In 1992 Olivares and Rosenthals research findings examined three areas: Read MoreThe Issues Within Public Education Essay1393 Words   |  6 Pagesunequal gender bias. Gender bias in education is typically thought of the fact that girls are pushed toward classes that are humanities based, while the boys are pushed to take classes that are science and math driven. This then leads into the fact that women make less money than men, so something must be unequal, whether it is education or gender rights, or both. This paper will examine the gender gap in K-12 education, which includes stereotyping and the unequal representation of boys in math and scienceRead More Equity in the Classroom Essay821 Words   |  4 PagesEquity in the Classroom The concerns regarding equity issues in math and science may seem minimal, but in reality are very large. Usually unintentionally, teachers pay more attention, and give more positive attention to boys in their classrooms. This is especially noticed in the areas of math and science. â€Å"Girls are equal to or ahead of boys in achievement† (Sadker, 1993, p. 67) in the early stages of schooling. So why do boys seem to do so much better in math and science in the later schoolRead MoreEssay about Gender Equity in Education3139 Words   |  13 Pages Gender equity in terms of education is about the socialization of men and women and the results of this process on the life outcomes of the two genders (Husen Postlethwaite, 1994). In the United States, the education system is required to treat males and females equally. There has been much research done to compare the genders in all areas. In the past, research has found that women fall far behind men in many areas such as math, and science, but men lag behind women in certain areas as wellRead MoreEffectiveness Of Experiential Learning Using The Workshop Activity For Gender Equity Simulation1008 Words   |  5 PagesActivity for Gender Equity Simulation – Academic version (WAGES-Academic) to deliver gender inequity information† (Zawadzki, Danube, Shields, 2012, P.605). Researchers formed a quantitative study by comparing the â€Å"WAGES-Academic to an Information Only condition (knowledge without experiential learning) and a Group Activity control condition† (Zawadzki et al., 2012, P.605). For the methods of the research, â€Å"at baseline, 1249 undergraduates from the pool (705 women, 529 men, 15 gender unspecified)

The Great Gatsby, Chapter 8 Free Essays

Owen Marshall Honors Language Arts, Lohman March 27, 2013 Chapter 8 This chapter begins with Nick talking to Gatsby after the horrible events of the night before. Gatsby tells Nick how he spent his night waiting for Daisy to see him just for her to ignore him the whole time. He then tells Nick about why he fell in love with Daisy, and why he is still so deeply attached to her. We will write a custom essay sample on The Great Gatsby, Chapter 8 or any similar topic only for you Order Now Nick then leaves for work, shouting to Gatsby reassuring words seeing as he is obviously lost and depressed. After Nick leaves we are told about the actions of grief stricken George Wilson. We are told that George believed that the driver of the car that killed his wife was Gatsby and George acts upon this information. He spends the day making his way to Gatsby’s house and upon his arrival kills Gatsby in his pool and then ends his own life. Suspense This chapter creates a very deep suspense through the actions of George Wilson. Fitzgerald cultivates this suspense for the climax of the novel by describing George’s actions with little detail, describing them as if we are being told by a police report. He skirts what actually occurred, instead describing the setting in vivid detail. He mentions the â€Å"†¦cluster of leave†¦Ã¢â‚¬ (pg 170) that are in the pool foreshadowing Gatsby’s fate by having the leaves represent the end of the season and the end of his life. Fitzgerald uses this suspense to keep the reader intensely reading keep Gatsby’s death a shock. How to cite The Great Gatsby, Chapter 8, Papers

Dementia Care for Training Content and Didactic - myassignmenthelp

Question: Discuss about theDementia Care for Training Content and Didactic. Answer: Introduction: The requirement of addressing dementia care for patients has to be associated with flexibility of the model of care services delivery leading to the distinct variations in the outcomes for the patients, families as well as carers. The selection of research study literature as a credible source of information helps in determining a model that can help in effective realization of a healthcare service delivery system for dementia (Boersma, et al., 2015). The particular indications towards the increasing share of ageing population in major OECD countries leads to the detrimental consequences that can be identified in the long run by these countries. The recognition of dementia as a formidable aspect of social policy, healthcare settings and care for the aged individuals is essential in order to develop appropriate frameworks that can address the contemporary health trends with respect to dementia. The following report aims to reflect critically on evidence pertaining to the model of care service and models of service delivery that can be implemented in practice (Borson, et al., 2013). The report explicitly discusses the reason for implementing the model and the potential outcomes that can be derived from the model. The application of the service delivery model in dementia care is discussed with evidence pertaining to the process available in literature as well as the change management process and quality improvement strategy that can be ascertained from the existing literature from research studies. The concluding section of the report would be supported with the use of timelines and plans that could be derived from other business cases and proposals (Brooker Latham, 2015). Proposal for the model: The initiatives for development of dementia care service delivery models could be associated with noticeable investments as observed in the examples of countries like America which invest approximately more than $100 billion annually. The service models are based on the implications of clinical research and evidence based practice outcomes. As per Dalkin, et al, the care model that has to be considered for implementation in context of this report includes references to a collaborative framework that would enable members to perceive the depreciation of inequalities in the care services for dementia (Dalkin, et al., 2017). The increasing number of ageing population and the escalation in number of people suffering from dementia could also be assumed as a major substrate for development of a framework that could facilitate improvisation of dementia care on a national level. The negative social stigma associated with dementia could be identified as a profound setback for the delivery of care to patients suffering from dementia (Dalkin, et al., 2017). Furthermore, the personal apprehensions of a person regarding the terminal nature of dementia and the fact that it cannot be cured once it is diagnosed could lead to the fear of an individual patient to avail treatment for dementia. Another noticeable pitfall that can be observed in the case of care services for patients suffering from dementia is the lack of competences among the health practitioners for implementing diagnosis for the patients. As per Elliott, et al, Health practitioners also depict the insufficiencies such as lack of training to use information and support services for addressing the health conditions of the patient after diagnosis (Elliott, et al., 2016). The framework considered for this report would be directed towards improving the volume of information pertaining to dementia that is accessible for patient, family and the caregivers. This framework would also comprise of profound references to the inclusion of health and social support domains. As per Eggenberger, Heimerl Bennett, accessibility of information for patients and their families as well as the health and social support groups would enable the access to productive outcomes such as wellbeing and independence in their treatment. The existing scenario suggests that people suffering from dementia are more likely to obtain diagnosis of their condition from the secondary healthcare services that is possible only in advanced stages of the illness (Eggenberger, Heimerl Bennett, 2013). According to Gridley, et al, the delay in diagnosis of dementia could be reflective of the inability of the patient to communicate significant aspects of their condition to the healthcare service provider. The late diagnosis could also be held as a disadvantage for the patient as well as their family since they would be subject to additional stress due to the lack of access to support and information services that could have contributed to the reduction or prevention of symptoms associated with dementia (Gridley, et al., 2016). The lack of information and support services could be considered inept for the treatment of dementia since it the delay in diagnosis and service delivery could lead to the proliferation of opportunities wherein consequential symptoms can be observed in the patient such as psychological, depression, anxiety and behavioural patterns. The model of service care delivery is also associated with the improvement of awareness regarding dementia alongside addressing the social stigma pertaining to the affliction. The model would include a functional care plan and the appointment of an attorney that ensures the improvement of wellbeing of patients alongside ascertaining their potential needs in the future. The particular specialist services provided for diagnosis of dementia are observed in minimal quantities thereby suggesting the detrimental consequences arising from the lack of appropriate number of specialist services that can impose substantial pressure on the specialist service providers . Primary healthcare service systems would have to be improved in order to improve the care services and enhance the early diagnosis of dementia thereby assisting the families and caregivers of patients with dementia (Heinrich, et al., 2016). The use of the information dissemination model in context of primary healthcare settings would facilitate comprehensive cost effectiveness and flexible distribution of patient case load for specialist service providers and secondary healthcare settings. As per Knapp, Iemmi Romeo, the consideration for this information delivery model could be associated with the profound underlying factor which is the age group of the patient. However, the concerns of dementia could be observed in case of different people such as people with alcoholism and drug addictions, younger people and patients with Down syndrome (Knapp, Iemmi Romeo, 2013). Therefore the development of information dissemination platform in the project would have to be characterized by the exclusive involvement of the aspects of sector knowledge, training requirements and appropriate information. The model for care should also include references to the consideration for needs of ethnic minorities in the concerned jurisdiction s ince the evidence drawn from literature suggests the inappropriate healthcare delivery systems for ethnic communities. The representation of minorities in the management level of healthcare with respect to this information delivery model would have to be realized in order to ensure that people with dementia in ethnic communities such as the Maoris in New Zealand and the Aboriginal and Torres Strait Islander people are able to receive early diagnosis of dementia. It is also essential to consider the cultural barriers that can be reflective of profound impacts on the delivery of information regarding dementia. As per Lorenz, et al, Cultural barriers in certain communities are observed in the form of apprehensions to diagnose dementia and its perception in the social circle of the individual as a stigma (Lorenz, et al., 2017). Therefore, ethnic communities are less likely to engage in diagnosis and treatment of dementia that escalates the risks of the problems faced by people with dementia alongside increasing the concerns of the caregivers for patients suffering from dementia. The implementation of the model could be described through a subjective interpretation of dementia care and the information delivery models that are intended for health and social support groups to deliver appropriate care opportunities to dementia patients. Implementation plan: The implementation of the framework considered in the above section could be reviewed from a detailed interpretation of the guiding principles and the significant elements that are required for effective dementia care. The key element considered in the awareness and risk reduction model for dementia care can be observed in the evaluation, early diagnosis, intervention and continual support (Steiner, 2016). The other crucial elements refer to living well, addressing challenges for improving the wellbeing of an individual alongside profound references to the end of life. Addressing these individual elements in the model would have to be directed by specific guiding principles. First of all, the model would follow an approach that is person specific and is centred on the benefits for people. The health and social support services involved in dementia care should be able to facilitate opportunities for patients, their families and carers for upholding their rights and access services without any apprehension. The families, caregivers and patients with dementia should be involved in the planning and provision of care services as partners through precise communication and training facilities which should be reflected comprehensively in all the levels of decision making. As per Surr, et al, Empowering of the individual stakeholders for involvement in the decision making process would have to be ensured in order to address their capacities for participation in the model (Surr, et al., 2016). The framework also implies formal references to the imperative of addressing the distinct spiritual, social, economic and cultural variations observed in the background of patients with dementia. The support and care services are also include of references to the symptoms and disease progression requirements that should be facilitated despite any setbacks such as reduced capacity of the patients due to the affliction. The next principle that must be emphasized by health and social support services refers to the early diagnosis of dementia and improving the participation within the relevant communities. This principle could be realized effectively in the case of providing appropriate support to improve the culture of engagement and partnership in the domain of dementia care. The services should be characterized by formal characteristics such as proactive nature and accessibility alongside implying the mandatory precedents of flexibility that could be productive in addressing the distinct needs of individual patients that can be observed in the variations of economic and social needs. The health and social support services should also be aligned with supportiveness for the choices that are made by the individual suffering from dementia, their family and caregivers (Testad, et al., 2016). The proper implications for appropriate training of the staff should be adopted in this model that can enable the staff to understand the varying dimensions of dementia care according to the variations in age and culture. Furthermore, the necessity of a proactive and friendly approach should be identified in the case of physical environment of the care providers and their service provision approaches. As per Testad, et al, the guiding principle of improving the accessibility of health and social support services could be realized only if the services are integrated to accomplish service specific objectives (Testad, et al., 2016). The service models are adapted to address the local requirements for dementia care that would be supported by the frameworks for regional and local dementia care process governance. As per Webster DiBartolo, the integration of services would also be reflective of the outcomes such as consistency and flexibility of the care planning process across varying services in healthcare and social support which encompass the government organizations, primary and secondary healthcare apparatus, private sector organizations and non government organizations that facilitates opportunities to maintain the continuity of support and care for people with dementia. Another prominent outcome that can be derived through the implementation of service integration is identified in the evaluation of interdisciplinary dimensions in the service delivery framework alongside planning of care delivery pathways with formidable references to the social, functional and psychological goals (Webster DiBartolo, 2014) . The focus of the services on person involved in the care delivery framework would have to be complemented with the aspects of early intervention, escalating the levels of maintenance, independence and health improvement, obtaining the consent of the people and their families and support. The appointment of welfare guardian, personal order guardian and the enduring power of attorney can serve as apt facilities for people with dementia that cannot provide consent or are legally classified as incapacitated. The improvisation of the potential standard of care for people with dementia should also be emphasized in the case of the development of a model for disseminating information and creating awareness for dementia. The development of services would be aligned with the mandatory implications of providing the appropriate services in the context of appropriate location and time (Lorenz, et al., 2017). The standard of excellence perceived in dementia care should be reflective of prominent r eferences to the international standards and trends alongside the use of evidence based practice models. The standard of services acquired from the implementation of the model could also be validated through the comprehensive training and education processes implemented to develop a skilled workforce. The implications of cost effectiveness and safety could also be considered as major highlights in the implementation plan derived from guiding principles that help in upholding the continuity of services facilitated in dementia care. The standardization of dementia care with respect to national and regional perspectives could also be a productive measure in the implementation plan that validates the credibility of the care service delivery model. The implementation plan should also emphasize on certain aspects pertaining to the effectiveness of the distinct areas and stages of dementia care. The factors should be assumed as priorities in order to address compliance with the guiding principles for the model. The first factor refers to the education and training for people with dementia (Dalkin, et al., 2017). The educational opportunities and facilities for training of the patients and their families could be addressed through development principles established for development of health education resources alongside emphasising on the positive aspects of a lifestyle with dementia and the value of physical activity. The education and training should be reflective of measures to address the distinct learning styles and competences of the patients, their families and carers with profound emphasis on resolving communication issues. The training and awareness of the workforce is also an imperative concern in the implementation plan as it would ensure that there is not lack of professional support to patients with dementia and their family (Brooker Latham, 2015). The workforce training is vested in the focus on people and delivery of care approaches that imply access of inputs from the involved people. The opportunities for the workforce in dementia care to acquire substantial support in the form of references to the distinct learning styles and abilities as well as the references to the responsiveness of the workforce to people with other underlying conditions such as Down syndrome and other incapacities. Other factors that should be considered essential in this case refer to the governance, family support, culturally appropriate services, advocacy, monitoring and evaluation and sources of funding streams (Borson, et al., 2013). Change management: The implications associated with the delivery of a dementia care service model could be apprehended with prominent references to the scope of change management. Change management is required primarily for addressing the human stakeholder concerns such as training and support for patients, their families and the caregivers associated with them as well as the new workforce that would be included from the primary healthcare sector. The change management process in context of the model for dementia care proposed in this report has to be explicitly associated with the key factors in the model and references to the best practices that can be implemented in context of each element (Elliott, et al., 2016). The foremost dimension of awareness and risk reduction could be associated with primary objective of leveraging on the national and regional efforts for increasing the awareness of people regarding a healthy and active lifestyle for people that are perceived to be suffering from or depicting chances of developing dementia. The improvement of awareness could be assumed as crucial factor to be addressed by the change management process since it is considered significant for resolution of the issue of social stigma associated with dementia (Knapp, Iemmi Romeo, 2013). The change management process implies references to the best practices in order to improve awareness regarding dementia and can be observed in the form of the following measures. The first step is to improve the awareness of public regarding the issue thereby implying formidable references to self-identification and associated strategies could be informed through the use of national websites and awareness programmes and participation in community training sessions. The local change management best practices could be identified distinctly in the provision of training to the primary healthcare service apparatus thereby contributing to the proficiency of healthcare personnel in the reduction of risks (Lorenz, et al., 2017). The implementation of a model for acquiring and providing information regarding dementia care through evidence based practice and research should be aligned with the mandatory facets of improving interdisciplinary training and increasing co-operation between the agencies for healthcare and social support services. Another prominent aspect that could be observed in context of addressing the concerns of awareness and risk reduction with respect to dementia care can be observed in improvement of media opportunities that can enable the social acceptance of the training provided to the public and other involved stakeholders in the realization of the plan. The second crucial element that should be addressed in the change management process is vested in the empowerment of people to improve their cognitive assessment capabilities. The necessity of evaluation on time could be considered as a significant factor that is responsible for profound change management application (Surr, et al., 2016). It is also necessary for the implementation of programs that would inform the healthcare teams, support staff and health practitioners regarding the significance of early diagnosis and obtain opportunities. The particular aspects that should be included in the change management process refers to the inclusion of comprehensive dimensions such as cultural barriers, limited access to medication, missed appointments and other underlying conditions that could complicate the issue. The change management process is primarily inclined towards preparing the framework to be responsive to the emerging trends in dementia healthcare. The implications for health practitioners in this case would also involve profound references to the acquisition of information and competences that assist in cognitive assessment and information regarding dementia (Eggenberger, Heimerl Bennett, 2013). The health practitioners in the sector of dementia care should also be provided with consistent support from specialists in the field thereby contributing to their responsiveness to change. The frequent monitoring and evaluation of the condition of patients suffering from dementia could also be a major issue for change management process in this context. It can also be apprehended that the change management process should also be reviewed from the perspectives of positive and negative impacts. The implementation of organizational level change was not addressed in the report which was characterized by explicit references to the impairment of conventional service delivery structure. Initially, the secondary healthcare organizations and private organizations were associated with prolific references to the minimal or specialized organizational apparatus intended for addressing the concerns of dementia care. The expansion of the workforce would lead to the inclusion of a multidisciplinary approach to healthcare and social support mechanisms in dementia care (Lorenz, et al., 2017). Therefore, change management on the organizational level or work unit level could be addressed through prominent references to the implementation of prolific recruitment and selection approaches that can facilitate the selection of competent leaders and managers. The competency of leaders has been attributed as a major attribute for ensuring the effectiveness of change management. Therefore the involvement of effective leaders in allocation of tasks and responsibilities for different stakeholders within an organization could be helpful for the workforce of the organizations to acquire substantial information regarding patients and the required approaches for addressing the care and social support for them. The change management could also be improvised through emphasizing on the attributes of communication and establishing objectives that could be accounted as positive factors for the aspects of dementia care for patients and provision of relevant support to the families and carers (Surr, et al., 2016). The model should be communicated effectively to the different involved stakeholders through training and holistic learning approaches. Experiential learning would account for prolific outcomes in context of improving the readiness of workforce, patients, their families and associated authorities to adapt to reforms in service delivery apparatus and accessibility of information frameworks. Quality improvement: The aspects of quality improvement should also be considered as notable concerns for the effectiveness of a model intended to deliver care and social support for patients with dementia. The model considered in the case of this report is inclined towards the objectives of addressing the competences of patients, families, carers, primary and secondary healthcare settings, nongovernmental and governmental authorities to improve awareness regarding dementia care (Brooker Latham, 2015). The implementation of the model would be accompanied with a drastic change management process that should be analyzed comprehensively in order to obtain an impression of the potential gaps in the model. The pitfalls identified from monitoring of the change management process and its outcome along the course of implementation phase could be used as inputs for the quality improvement strategy for the model proposed in this report. The comprehensive evaluation of the areas characterized by insufficiencies in quality could be addressed through references to the creation of a mandatory program for enrolment of patients and caregivers characterized by the provision of opportunities for self management and support. This measure would address the quality gaps observed in the outcomes of the models implementation in the form of limited involvement of civil participants i.e. patients in training. While the workforce could depict a participative approach due to their professional obligations, the objective of the model could be realized only through the awareness of patients, their families and caregivers. This insufficiency in quality can be addressed through specific measures such as support group participation, self management counselling sessions, informal communication through telephonic channels and speciality referrals (Gridley, et al., 2016). Another quality improvement strategy that can be implemented in context of the model to be implemented is the implementation of active case finding and evidence based research to identify the distinct patterns in the case studies. The identification of insights from counselling sessions between healthcare and social support providers and the patients as well as their families would enable the proliferation of valid opportunities to implement person specific care as outlined in the guiding principle for the models implementation. Management of physical activity and its monitoring was also identified as a crucial pitfall in realizing the effectiveness of the model to facilitate information regarding self management of dementia and improve the competences of primary healthcare apparatus to address the same. The model should also include notable mentions of the frequency of underlying conditions and their impact on the progressiveness of dementia in case of the patient. The inclusion of comprehensive information regarding the importance of physical activity and the impact of underlying conditions such as anxiety and depression on the health of patient with dementia would facilitate quality improvement (Surr, et al., 2016). It is also imperative for the quality management strategy to consider the significance of the mental and physical health of the caregiver that should be complemented with the proactive monitoring. The surveillance of caregivers emotional and physical health has to be included in the distinct stages of the models lifecycle such as implementation and change management. The variations in cognitive, behavioural, psychological and functional conditions pertaining to different work settings could provide viable insights into the factors hindering professional development of workforce to cater the requirements of dementia care. The communication with primary care physician assigned to each caregiver can be supported with patient management protocols that would enable the caregivers to follow a streamlined approach to the non pharmacological treatment of patients. It is necessary to consider the pitfalls in quality of the implementation of the model in the communication aspect which serves as a functional attribute in the change management process (Knapp, Iemmi Romeo, 2013). However, the precedents established for communication in the implementation phase could not be translated effectively in the change management process thereby leading to a quality gap in the model. The appointment of a dementia care coordinator could serve as a centralized source for improving communication quality involving the patient and caregiver. The role of a facilitator for communication would also contribute to the improvements in multidisciplinary teamwork approaches in dementia care that would address the excess disability or incapacitation occurring due to co morbid medical conditions (Gridley, et al., 2016). Conclusion: The model for improving the awareness of patients, family, caregivers, non-governmental organizations and primary healthcare settings regarding dementia was illustrated in this report with explicit references to the processes of implementation, change management and quality improvement. The timeline for planning, development, application, review and improvement of the model could be presented as follows in the form a Gantt chart. Activity Month 1 Month 2 Month 3 Month 4 Month 5 Month 6 Evaluation of the current scenario and health trends Selection of target groups Planning and evaluation of target group needs Formulation of initiatives to address the issue Review of the formulated plan by higher authorities Implementation Analysis of pilot test outcomes Review of change management precedents Quality checking and improvement Feedback and Evaluation References Boersma, P., van Weert, J. C., Lakerveld, J., Dres, R. M. (2015). The art of successful implementation of psychosocial interventions in residential dementia care: a systematic review of the literature based on the RE-AIM framework.International psychogeriatrics,27(1), 19-35. Borson, S., Frank, L., Bayley, P. J., Boustani, M., Dean, M., Lin, P. J., ... Stefanacci, R. G. (2013). Improving dementia care: the role of screening and detection of cognitive impairment.Alzheimer's Dementia,9(2), 151-159. Brooker, D., Latham, I. (2015).Person-centred dementia care: Making services better with the VIPS framework. Jessica Kingsley Publishers. Dalkin, S. M., Lhussier, M., Atkinson, J., Kendall, N., Tolman, S. (2017). 13 What works, for whom and in which circumstances when implementing the namaste advanced dementia care programme in the home setting?. Eggenberger, E., Heimerl, K., Bennett, M. I. (2013). Communication skills training in dementia care: a systematic review of effectiveness, training content, and didactic methods in different care settings.International Psychogeriatrics,25(3), 345-358. Elliott, K. E., Sanderson, K., Martin, A., Robinson, A. L., Scott, J. L. (2016). Stress and coping of Australian community-based aged and dementia care employees. In4th International Wellbeing at Work Conference. Gridley, K., Baxter, K., Brooks, J., Birks, Y. F., Cusworth, L. S., Allgar, V. L., Parker, G. M. (2016). Life story work in dementia care. Heinrich, S., Uribe, F. L., Wbbeler, M., Hoffmann, W., Roes, M. (2016). Knowledge evaluation in dementia care networks: a mixed-methods analysis of knowledge evaluation strategies and the success of informing family caregivers about dementia support services.International journal of mental health systems,10(1), 69. Knapp, M., Iemmi, V., Romeo, R. (2013). Dementia care costs and outcomes: a systematic review.International journal of geriatric psychiatry,28(6), 551-561. Lorenz, K., Freddolino, P. P., Comas-Herrera, A., Knapp, M., Damant, J. (2017). Technology-based tools and services for people with dementia and carers: Mapping technology onto the dementia care pathway.Dementia, 1471301217691617. Steiner, P. (2016).IAM-CARE: A Newly Developed Innovative Solution in the Field of All-encompassing Dementia Care: Medienarbeit(Doctoral dissertation). Surr, C. A., Smith, S. J., Crossland, J., Robins, J. (2016). Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study.International journal of nursing studies,53, 144-151. Testad, I., Mekki, T. E., Frland, O., ye, C., Tveit, E. M., Jacobsen, F., Kirkevold, . (2016). Modeling and evaluating evidence?based continuing education program in nursing home dementia care (MEDCED)training of care home staff to reduce use of restraint in care home residents with dementia. A cluster randomized controlled trial.International journal of geriatric psychiatry,31(1), 24-32. Vernooij-Dassen, M., Moniz-Cook, E. (2014). Raising the standard of applied dementia care research: addressing the implementation error. Webster, D., DiBartolo, M. C. (2014). Using a standardized patient learning activity to teach baccalaureate nursing students about dementia care.Nurse educator,39(3), 103-104

The Slaughter House Five Essays - , Term Papers

The Slaughter House Five THE NOVEL - THE PLOT - Billy Pilgrim, like Kurt Vonnegut, was an American soldier in Europe in the last year of World War II. If you come to know a combat veteran well- a veteran of that war, of the Korean War, or of the war in Vietnam- you will almost always find that his war experience was the single most important event in his life. The sights and scars of war remain with the soldier for the rest of his days, and his memories of death and killing help to shape whatever future career he may make. The same is true for Billy Pilgrim. What he saw and did during his six months on the battlefield and as a prisoner of war have dominated his life. Slaughterhouse-Five shows how Billy comes to terms with the feelings of horror, guilt, and despair that are the result of his war experiences. Billy does this by putting the events of his life in perspective. He reorganizes his life so that all of it occurs within the context of his days in Europe during the war. Thus the novel relates Billy's prewar and postwar history (including his death in 1976, which was many years in the future when Vonnegut was writing this book), but the real story of the novel is the story of Billy's wartime days. All the other events in Billy's life are merely incidental to his time as a soldier and a prisoner of war. You see them as events that come to his mind as he lives, or relives, the last months of the war in Europe. Billy reorganizes his life by using the device of time-travel. Unlike everyone else, Billy Pilgrim doesn't live his life one day after another. He has become unstuck in time, and he jumps around among the periods of his life like a flea from dog to dog. When you meet him in Chapter 2, it is December 1944 and Billy and three other American soldiers are lost in a forest far behind enemy lines. Billy closes his eyes for a moment, drifts back to a day in his past with his father at the YMCA, then suddenly opens his eyes in the future: it's 1965 and he is visiting his mother in a nursing home. He blinks, the time changes to 1958, then 1961, and then he finds himself back in the forest in December 1944. Billy doesn't have much time to wonder about what has just happened. He's captured almost immediately by German soldiers and put onto a train bound for eastern Germany. Aboard the train Billy has a great adventure in the future: on his daughter's wedding night in 1967, he is kidnapped by a flying saucer from the imaginary planet Tralfamadore. The aliens take Billy to their home planet and put him in a zoo. Then, as always seems to happen, Billy wakes up back in the war. The train arrives at a prison camp, and there a group of British officers throw a banquet for the American POWs. Before long he is traveling in time again, to a mental hospital in 1948, where he's visited by his fiance, Valencia Merble. As soon as he recovers from his nervous breakdown, Billy will be set up in business as an optometrist by Valencia's father. Billy is introduced to science fiction by his hospital roommate, Eliot Rosewater, whose favorite author is Kilgore Trout. Trout's writing is terrible, but Billy comes to admire his ideas. Billy travels in time again to Tralfamadore, where he is the most popular exhibit in the zoo. His keepers love talking to Billy because his ideas are so strange to them. He thinks, for example, that wars could be prevented if people could see into the future as he can. Next Billy wakes up on the first night of his honeymoon. After making love, Valencia wants to talk about the war. Before Billy can say much about it, he's back there himself. The American POWs are being moved to Dresden, which as an open city (of no military value) has come through the war unscathed, while almost every other German city has been heavily bombed. Billy knows that Dresden will soon be totally destroyed, even though there's nothing worth bombing there- no troops, no weapons factories, nothing but people and beautiful buildings. The Americans are housed in building number five of the Dresden slaughterhouse. Billy continues his time-travels. He survives a plane crash in 1968. A few years before that, he meets Kilgore Trout. And on Tralfamadore he tells his zoo-mate, Montana Wildhack, about the

Japanese Battleship Yamato in World War II

Japanese Battleship Yamato in World War II One of the largest battleships ever built, Yamato entered service with the Imperial Japanese Navy in December 1941. The battleship and its sister, Musashi, were the only battleships ever constructed with 18.1 guns. Though incredibly powerful, Yamato suffered from a relatively low top speed as its engines were underpowered. Taking part in several campaigns during World War II, the battleship was ultimately sacrificed during the Allied invasion of Okinawa. Ordered south as part of Operation Ten-Go, Yamato was to break through the Allied fleet and beach itself on the island to serve as an artillery battery. While steaming to Okinawa, the battleship was attacked by Allied aircraft and sunk. Design Naval architects in Japan began work on the Yamato-class of battleships in 1934, with Keiji Fukuda serving as the chief designer. Following Japans 1936 withdrawal from the Washington Naval Treaty, which forbade new battleship construction before 1937, Fukudas plans were submitted for approval. Initially meant to be 68,000-ton behemoths, the design of the Yamato-class followed the Japanese philosophy of creating ships that were bigger and superior to those likely to be produced by other nations. For the ships primary armament, 18.1 (460 mm) guns were selected as it was believed that no US ship with similar guns would be capable of transiting the Panama Canal. Originally conceived as a class of five ships, only two Yamatos were completed as battleships while a third, Shinano, was converted to an aircraft carrier during building. With the approval of Fukudas design, plans quietly moved forward to expand and specially prepare a dry dock at the Kure Naval Dockyards for construction of the first ship. Veiled in secrecy, Yamato was laid down on November 4, 1937. Early Issues In order to prevent foreign nations from learning the actual size of the ship, Yamatos design and cost were compartmentalized with few knowing the true scope of the project. In order to accommodate the massive 18.1 guns, Yamato featured an extremely wide beam which made the ship very stable even in high seas. Though the ships hull design, which featured a bulbous bow and a semi-transom stern, was tested extensively, Yamato was unable to achieve speeds higher than 27 knots making it unable to keep up with most Japanese cruisers and aircraft carriers. This slow speed was largely due to the vessel being underpowered. In addition, this issue led to high levels of fuel consumption as the boilers struggled to produce enough power. Launched with no fanfare on August 8, 1940, Yamato was completed and commissioned on December 16, 1941, shortly after the attack on Pearl Harbor and the beginning of World War II in the Pacific. Entering service, Yamato and its sister Musashi became the largest and most powerful battleships ever built.  Commanded by Captain Gihachi Takayanagi, the new ship joined the 1st Battleship Division. Fast Facts: Japanese Battleship Yamato Overview Nation: JapanType: BattleshipShipyard: Kure Naval DockyardLaid Down: November 4, 1937Launched: August 8, 1940Commissioned: December 16, 1941Fate: Sunk in action, April 7, 1945 Specifications Displacement: 72,800 tonnesLength: 862 ft. 6 in. (overall)Beam: 127 ft.Draft:: 36 ft.Propulsion: 12 Kampon boilers, driving 4 steam turbines and 4 propellersSpeed: 27 knotsRange: 7,145 miles at 16 knotsComplement: 2,767 men Armament (1945) Guns 9 x 18.1 in. (3 turrets with 3 guns each)6 x 6.1 in.24 x 5 in.162 x 25 mm anti-aircraft4 x 13.2 mm anti-aircraft Aircraft 7 aircraft using 2 catapults Operational History On February 12, 1942, two months after its commissioning, Yamato became the flagship of the Japanese Combined Fleet led by Admiral Isoroku Yamamoto. That May, Yamato sailed as part of Yamamotos Main Body in support of the attack on Midway. Following the Japanese defeat at the Battle of Midway, the battleship moved to the anchorage at Truk Atoll arriving in August 1942. The ship remained at Truk for much of the next year largely due to its slow speed, high fuel consumption, and a lack of ammunition for shore bombardment. In May 1943, Yamato sailed to Kure and had its secondary armament altered and new Type-22 search radars added. Returning to Truk that December, Yamato was damaged by a torpedo from USS Skate en route. Yamato and Musashi at Truk, 1943. Public Domain After repairs were completed in April 1944, Yamato joined the fleet during the Battle of the Philippine Sea that June. During the Japanese defeat, the battleship served as an escort in  Vice Admiral Jisaburo Ozawas Mobile Fleet. In October, Yamato fired its main guns for the first time in battle during the American victory at Leyte Gulf. Though hit by two bombs in the Sibuyan Sea, the battleship aided in sinking an escort carrier and several destroyers off Samar. The following month, Yamato returned to Japan to have its anti-aircraft armament further enhanced. After this upgrade was completed, Yamato was attacked by US aircraft with little effect while sailing in the Inland Sea on March 19, 1945. With the Allied invasion of Okinawa on April 1, 1945, Japanese planners devised Operation Ten-Go. Essentially a suicide mission, they directed  Vice Admiral Seiichi Ito to sail Yamato south and attack the Allied invasion fleet before beaching itself on Okinawa as a massive gun battery. Once the ship was destroyed, the crew was to join the islands defenders. Operation Ten-Go Departing Japan on April 6, 1945, Yamatos officers understood that it was to be the vessels last voyage. As a result, they permitted the crew to indulge in saki that evening. Sailing with an escort of eight destroyers and one light cruiser, Yamato possessed no air cover to protect it as it approached Okinawa. Spotted by Allied submarines as it exited the Inland Sea, Yamatos position was fixed by US PBY Catalina scout planes the next morning. Japanese battleship Yamato blows up, following massive attacks by U.S. Navy carrier planes north of Okinawa, 7 April 1945. An escorting destroyer is at left. Photographed from a USS Yorktown (CV-10) plane. US Naval History and Heritage Command Attacking in three waves, SB2C Helldiver dive bombers  pummeled the battleship with bombs and rockets while TBF Avenger torpedo bombers assaulted Yamatos port side. Taking multiple hits, the battleships situation deteriorated when its water damage-control station was destroyed.  This prevented the crew from counter-flooding specially designed spaces on the starboard side to keep the vessel from listing. At 1:33 PM, Ito directed the starboard boiler and engine rooms flooded in an effort to right Yamato. This action killed several hundred crewmen working in those spaces and cut the battleships speed to ten knots. At 2:02 PM, the admiral elected to cancel the mission and ordered the crew to abandon ship. Three minutes later, Yamato started to capsize. Around 2:20 PM, the battleship rolled over and began sink before being torn open by a massive explosion. Of the ships crew of 2,778, only 280 were rescued. The US Navy lost ten aircraft and twelve airmen in the attack.

Changes in Art History with Emphasis on the Mid-Twentieth Century Essay

Art during the mid-twentieth century contained some of the most important changes art history. These explosive times were counter-balanced with explosive popular culture. More historical events, abrupt changes, and turbulence occurred from the end of World War II until the height of the Vietnam War than in any time period. Before this time, styles of art had lasted generations. In the 1960’s numerous important art movements were happening at the same time. There were variations on variations, movements inside of other movements. Therefore, because of the amount of independent and integrated pieces of movements and styles, a lot can be missed in a short paper. The amount that happened in these twenty-five years is enough to fill volumes, and so, this is just a brief scraping off the top of what during these times—the most tumultuous times in American History. INTRODUCTION: The 1940’s through the 1960’s were not only some of the most socially and politically volatile times in American History, but were the catalyst for the numerous changes in which occurred in American Popular culture during these and following years. Instead of experiencing the trauma which resulted after World War I’s end, post-World War II United States returned fairly easily back to everyday life. Although there were some problems converting from a wartime to a peacetime economy in the late 1940’s, Americans took on the task and entered the 1950’s on a very auspicious high note. During the time period after World War II, the United States experienced many changes. Technology was abundant and the rate at which new inventions, industries and technologies came about was at a rate never seen before. From a television in every home to the first computers and ultimately space flight, these two decades after World War II were crowded with advancements. S ome of the most dramatic changes came in the field of art. What was once a single, slow road of popular culture advancement branched off into thousands of smaller, faster changing roads. Some of these â€Å"roads†, which can be seen as changing styles, or movements, in art, whipped Americans through a roller coaster of change in what they saw around them. The End of World War II: The major art movement taking place in the United States directly after World War II was ther in their concept. So as we start in a new millenium, we have to ask ourselves what will be the next great movement in art? Could there be anything again as influential as the times that existed here? Only time will tell. Bibliography: Cagle, Van M., Reconstructing Pop/Subculture: Art Rock and Andy Warhol, New York: Sage Publications, 1995 Yapp, Nick, Ed. The 1950s, Chicago: Konemann, 1998 Yapp, Nick, Ed. The 1960s, Chicago: Konemann, 1998 Reed, T.V., American Popular Culture. (online) Available: http://www.wsu.edu/~amerstu/pop/tvrguide.html, February 17, 2000 Seitz, William C., Art in the Age of Aquarius, 1955-1970, Washington, D.C.: Smithsonian Institution Press, 1992 Alloway, Lawrence. American Pop Art, New York: Macmillan Publishing Co., Inc., 1974 Dynamic Movements. (online) Available: Http://library.thinkquest.org/17142/dynamic-movements/ Jansen, H.W., The History of Art, New York: Harry N. Abrams Inc., 1997, p. 914-915 Warhol’s Reflection of the Social Times. (online) Available: Http://vc.lemoyne.edu/ant305/students/7_abarnett/page3.htm Marcel Duchamp. (online) Available: http://www.peak.org/~dadaist/English/Graphics/duchamp.html

Open Table - Case Study Example | Topics and Well Written Essays - 500 words

Open Table - - Case Study Example Another reason is that the closest competitors such as MenuPages.com are limited in their services in that though they offer access to restaurant menus and reviews, the visitors to their site cannot make reservations and MenuPages site covers only eight U.S cities. OpenTable has also partnered with onetime competitor Urbanspoon, enabling it to acquire Urbanspoon’s reservation management system, Rezbook, thus becoming Urbanspoon’s reservation provider. Apart from that OpenTable is committed to shrewd technological investments such as mobile Web site, mobile applications that work on just about every Smartphone platform. It has introduced an iPad app that fully integrates with the ERB software and GPS enables mobile uses to locate and make reservations at nearby venues. A new addition has also enabled users to pay for meals with a credit card directly from its apps. 2. The following characteristics of restaurant market make it difficult for a reservation system to work; Foremost restaurant booking systems require a fully secure reservation and cancellation functionalities that should come with confirmation of e-mail. This particular feature is real time and ensures that you are keeping abreast with developments as they take place real time.Secondly,some user interface are difficult to use for the online visitors, making them to be not user friendly to any potential customer who may want to use them.Thirdly,the fact that while in the market of restaurant reservation system online, you require a system that is web based as compared to the one that is installed or rather upgraded on a physical machine makes it difficult for a reservation system to work. 3. OpenTable’s market is susceptible to network effects which means that the more people use it, the more utility the system delivers, which made OpenTable’s growth to continually provide diners with expanded choices. More diners have thus

Memo of the textbook Essay Example | Topics and Well Written Essays - 500 words

Memo of the textbook - Essay Example He intends to implement the remaining portion of patient protection and affordable care act. The current president also intends to solve the problems within the payments system that threatens physician’s reimbursement. The policy will reform the medical malpractices to reduce the frequent medical lawsuits without arbitrary caps that do not lower cost of care in any way. (Obama and Lisa 1) Obama believes in a service that is affordable to everyone. The health care benefits the people in that at 65 the people are legible for free health care and subsidized costs of drugs. The children or adults under the age of 26 are also legible to be covered under the parent’s health care. The costs of insurance will also be improved due to the health care credits. Most of the democrats have discussed this in the past. The major concern has been on how the lives of the common man can be improved so as to ensure equality in the provision of fundamental services. The health care program for Obama intends to extend the service to over 30 million Americans who cannot access the service due to its cost. The Obamacare offers middle class Americans an opportunity to purchase health insurance. When a plan which only solves the problem of a few tycoons around is adopted, it will translate to a reduced voter expectation from the middle class populace. If the reasoning is based on the impacts the care will have on the lives of the common population, then Obama care should be in a position to appeal to people. It will convince the common citizens since they feel it is part of them. The bill believes in the simple principality of equality when it comes to respecting the lives of the people. Various states should also focus their funding towards the health care plan. The team behind the plan is strictly following the implementation of the plan that will see Americans get quality and affordable health care services. (Obama and Lisa

Theoretical Framework Essay Example for Free

Theoretical Framework Essay Amongst the continued violence between Sudan government’s Army and Minnawi’s SLM/A, Minni Arcua Minnawi, was sworn as the senior assistant to Sudan’s President Omar Al-Bashir. This appointment was a result of the agreement that was signed by the SLM/A and the government in the Darfur Peace Agreement (DPA).   The Darfur Peace Agreement was signed on May 5, 2006 between the Sudan’s government and the various factions in the country that were involved in civil war since the last five decades. It would be worthwhile if we can go through the disturbing history of Sudan which has hardly known what peace is since its independence. â€Å" The Sudan Peace Process – A comparison of the Addis Abba Peace agreement of 1972 and the Comprehensive Peace agreement of 2005† by Sara Basha in March 2006 not only gives a comprehensive review of the violent past of the country but also compares the two most important peace agreements in the country that promised peace to its people. According to Sara Basha, the reason the tension started brewing in the country was the divided rule that the Britishers implemented. They had demarcated such a strong line between the north Sudan and South Sudan that people no more got along each other. The Britisher’s deliberate emphasis on the North in terms of governance, business and appreciation led to its growth as more developed and rich when compared to south. In fact, at the time of independence, there was only one school in the whole of south Sudan. Over time, religion and ethnic differences also contributed to the conflict thereby making it a North Arabs vs. South Christians war. Sara Basha’s review gives a clear outline of the two civil wars that was fought in the country. The first civil war broke out immediately after independence, i.e., from 1955 and it lasted till 1972 when the Addis Abba Peace Agreement was signed. There was period of ten years of null when the people of Sudan first tasted peace. The agreement was signed under the rule of General Jaffer Nemeiri who was quite instrumental and influential in Sudan’s political history. It was due to his compliance and non-compliance of the agreement that failed the whole peace process. The first civil war, as Sara Basha reveals, was fought for South Sudan’s autonomy from the oppressive North. The Addis Abba Agreement sought to address that issue and South Sudan was given regional autonomous powers. Peace, according to Sara, was brought in to the picture when both the parties dutifully observed the conditions in the agreement. However, from 1977, hitherto peace-engaging ruler, Nemeiri started Islamization of the whole country and in 1983, imposed some new decrees and division of the south Sudan into three provinces without even consulting the regional heads of the South. That proved the last straw and the second civil war broke out which lasted for twenty one painful years. As Sara mentioned, this time the reason cited was not autonomy but a â€Å"New Sudan†. The faction fighting wanted a united Sudan that would ensure a fresh beginning to the nation.   The war ended in 2005 when the Comprehensive Peace Agreement was signed between the Government and SLM/A. This historical agreement was signed in January 2005. The review states the various provisions in the agreement that can work wonders if they were followed strictly. The review also questions how effective this peace process can be. Provided the non-compliance of the conditions in the previous peace agreement by the Government, the review does seem a bit pessimistic about the outcome of the process. It specially mentions the not-so-enthusiastic face the government has managed to put forth about the power sharing between the rebel factions and it. Moreover, the transition of the SLM/A from a rebel faction to a governing body was also under question. The current study seeks to fill this gap and gives the situation post-2005 when the implementation of CPA started. The Sara Basha’s review had come up with a hypothesis that the CPA can bring lasting peace in the country if both the sides adhere to it. The current study gives further credence to this hypothesis as it clearly explains the steps taken by the Sudanese government to implement the provisions. The election of Minnawi in the cabinet, the Darfur Peace Agreement (DPA), the efforts to resolve problems with the Eastern Front give weight to the whole peace process. There are, however, continued reports of deteriorating situation in the country where the human rights have been violated unabashedly. This partly answers the various questions and hypothesis raised by Sara Basha’s review. Though the current review does not explicitly state that the peace process would be a failure, the unabated violence in the country definitely leaves much to be desired. The current review cleared lot of gaps that Sara Basha’s review sought in future reviews. One of the main issues was the Darfur conflict and others that it could not cover. The current review not only covers that but also gives insights in to the latest developments in the issue. And the latest development doesn’t yet give promise of the lasting peace that Sara Basha’s review wished for.       References Basha, Sara. 2006. Sudan Peace Process: A comparison of Addis Abba Peace Agreement of 1972 and the comprehensive peace agreement of 2005. Online. Available from internet, http://web.uct.ac.za/depts/politics/depnews/ProposalPresentations/2006/Proposal%20Basha%20S%2017mar06.doc

The New York Yankees 98 Season :: American America History

The New York Yankees' 98 Season As anyone on the face of the civilized world knows by now , the New York Yankees have just completed one of the most dominating seasons in the history of professional sports. In the process, as many phemomenoms before them , sports or otherwise, they have captivated not only a city and a nation but much of the planet as well. I have seen Pakistani and Korean tourists visiting New York for the first time buying and proudly wearing Yankee caps and T-shirts. These people , obviously, know little or nothing about the game and are not truly baseball fans but are testimony to the Yanks compelling accomplishments. But the full appreciation of what this team has done in 1998 belongs mainly to the dyed in the wool baseball fan. The guy who's been following baseball as a religion , collecting cards , reading box scores and fantasying about being a big league hero long before his puberty began. It is among this elite group where now, in the afterglow of the success and celebration , that the endless debate over whether this is the greatest team of all time will rage in every locker room, bar room and office for most of this offseason. Many of the self proclaimed baseball gurus from all of the radio and TV talk shows and web sites have decided to take the politically correct approach and say that you cant really compare this team with the great ones of eras past. They say it's an "apples and oranges" comparison. I say this is a load ! You can , and if you're a true fan , should compare them. And you can draw definitive conclusions. I agree that the debate over the "greatest" in most arenas is hopelessly subjective. Who was a greater president , Lincoln or Roosevelt? If you ask who was the sexiest female screen star ever , depending on who you talk to and what their tastes were , you'd be as likely to hear Jean Harlow or Lana Turner as Sharon Stone. The key difference here is that these qualities cannot really be quantitatively measured. The fundamentals of being a great leader or being sexy have not really evolved over the centuries. Our interpretation of these things may have but not the fundamental qualities themselves. So comparing these qualities from different eras would be very very subjective.

Effects of Social Networking Sites Essay

Traffic to social networking sites (SNS) like Facebook, Twitter and MySpace has increased due to ongoing popularity with younger Internet users. Online villainy, such as cyber-bullying and sexting among the younger generations, has become alarmingly frequent through these sites. Recently, teenagers and tweens have not only been the victims, but also the perpetrators of these acts. This growing trend is said to be attributed to the amount of time these children spend on the Internet, mainly on social networking sites. The Internet provides a place where its users feel that their identity is concealed, allowing them to post or distribute harmful things that they wouldn’t normally do in a social setting. Through this younger generation, the online self has found a way to escape from its confinements on the web and work its way into society. Schools are struggling to discipline students who speak out of line to authorities and use crude language inside what is supposed to be a secure environment. Some say that the Internet is causing intelligence and mannerisms to decrease with extended use. Another problem, that is being brought to light, is the evolving form of bullying through the Internet. Parents and educators are having a hard time preventing this due to unfamiliarity they still consider bullying to be a violent act through physical contact. With the new generation, bullying is virtual as well as physical, flip-flopping between settings. The extreme contrast between these two different types of bullying makes the online one both hard to spot, and hard to discipline; the rules are different. Read more:Â  Social Networking Sites and its Impact on Youth The news has reported tragic stories of young adults committing rash acts after enduring online bullying that include: fighting back with escalated violence, sending computer viruses, dropping out of school and even committing suicide. A very small percent of children that are cyberbullied actually talk to their parents about the problem. With Internet violence rising with the increase in social networking sites’ members, younger Internet users must be educated on the dangers of the online world, and the emotional and mental affects that can come from Internet abuse.

Changing Landscape of Health Care Essay

Health care will always be a revolving door of change, and growth. With today’s voice in patient population it has been easier to guide where health care needs to fix itself. Technology and health care has been a positive collaboration thus far. This paper will discuss the shifts taking place in the health care market, the current and a potential challenge, how health care is handling challenges, and how has marketing changed? The major shifts that have been taken place are the hands on approach patients have with their own health care decisions and progress. With today’s health care challenges of managing electronic health records in the patients hands, many medical technology’s have been an interactive play ground in the digital health care age. This then allows the patient to gain and have more control in their health care process. Patients are able to see what they need to accomplish to better their health, and it allows for the patient to make the necessary changes to better their health care needs. The current changes are the interactive approach that the patient population will now have with their electronic health record. This allows the patient to see their history and what predisposed disease’s they should test for. Potential changes I can see coming is being able to pay medical bills through the patient’s electronic health care record. With the new addition of mobile phone applications this can help the patient to become more involved in their health care status. The challenges in electronic health care records will always be the concern of patient’s records being breached. This causes major red flags in electronic records software, with many firewalls and virus detectors in the previous medical records breach. These challenges will always be a concern in today’s digital age. The United States health care system has been prepared for any hackers and or system potential failures. Health care organizations have come to an understanding in making  electronics health records a number one priority today. In future years I see health care becoming a strong and efficient system, it will have its moments of pitfalls, but with consistency and determination as a country and health care system the United States electronic health care system can become a strong candidate for a great health care system.

Free Essays on The World Is Too Much With Us

worth’s argument is that, when these elements are considered, it can be seen that the beauty of the universe has a moral, that is, as we are more focused on materialism rather than our religious beliefs, we are becoming heathens, thus we must learn to ap... Free Essays on The World Is Too Much With Us Free Essays on The World Is Too Much With Us The Essence of Man In William Wordsworth’s sonnet "The World Is Too Much with Us," the author’s techniques enhance a feeling of not only hopeless despondency, but also forlorn dejection. Wordsworth presents first humankind's existing botched relationship to nature and quickly follows with his nostalgic idealization of our past rapport with it, the latter section being more immediate and personal. Wordsworth desperately longs for humanity to return to its once flourishing relationship with nature, ultimately becoming more true to our own quintessence. Wordsworth’s diction enhances a feeling of melancholy. For example, the author recognizes the vast potential for humankind, but the all too common mentality of â€Å"getting and spending† clouds the once perceptive outlook of humanity. The appetite the world has for devouring all that is around blinds all as to what is being sacrificed for the progress. Wordsworth’s powerful word choice reinforces the fact that mankind is jaded by materialism, thus destroying nature instead of embracing it. Wordsworth sees himself as having insight to the problems that exist between humanity and nature, warning that the materialistic progress being made by man is not without consequence. The destruction of the environment by mankind’s shortsightedness will continue as Wordsworth has foreseen. Wordsworth expresses to us that we are filthy animals and have betrayed nature; we have taken our love away from it and given it to getting and spending. He feels that as a result o f urbanization the beauty of nature that once many people possessed and saw everyday in their lives is now lost and in its place people find joy in getting and spending. Wordsworth’s argument is that, when these elements are considered, it can be seen that the beauty of the universe has a moral, that is, as we are more focused on materialism rather than our religious beliefs, we are becoming heathens, thus we must learn to ap... Free Essays on The World Is Too Much With Us Explication of â€Å"The World Is Too Much With Us† â€Å"The World Is Too Much With Us,† a sonnet written by William Wordsworth is about the disconnection of mankind with nature. He also writes about the carelessness and wastefulness of humans. Wordsworth continues with a plea to God that it be changed. Beginning with the title of the sonnet, â€Å"The World Is Too Much With Us,† implies that the world is too busy with people. Nature has been overlooked in the mist of everyone’s hectic lives. The title is repeated in the first line, then â€Å"late and soon.† These words suggest that the nature has been overlooked in the past, and will continue to be overlooked in the future. â€Å"Getting and spending† refers to the materialistic, commercialized world. Humans have become so involved in technology that they are ignoring the glorious natural world. In this line, when Wordsworth writes â€Å"we lay waste our powers,† he is directly stating that because of the â€Å"getting and spending,† humankind is not living up to its potential. â€Å"Little we see in Nature that is ours† reveals the disconnection humans have with nature. Furthermore, humans have no connection with God. Nature is a creation of God, and the two are one and the same, then mankind is disconnected with Him. Technology has replaced any type of a supreme being or faith in one’s spirituality. Only mankind’s love for obtaining things exist. Men no longer appreciate nature the way Wordsworth wishes. Wordsworth also believes that man have sold our souls when he writes â€Å"we have given our hearts away.† He calls this a â€Å"sordid boon.† Sordid means filthy or dirty. Webster’s Dictionary also defines the word as meaning â€Å"morally corrupt.† This obviously implies the hearts of men are morally degraded. A boon is a gift, so the corrupt hearts of men have been given away to some evil. When humans give their hearts away, they also give away their mo...

Act Three Assignment Example | Topics and Well Written Essays - 2500 words

Act Three - Assignment Example Young Brian stands very still, men in FBI jackets moving around him until the front door opens and his mother comes through the door. He runs into her embrace, but his eyes drift up to a picture of his father, indicating that his father vanished. His father was gone. His mother had been taken as a distraction, dropped off not far from their home, but Brian’s father had simply vanished with no clues for the FBI to follow. Brian grew into man, his heart always having belonged to Sophie, but the memory of his father remained as well. Brian and Sophia planned their wedding for months. Although they have been high school sweethearts and had been together for years, their excitement about their relationship never faded. All classmates knew that their love was genuine. Sophia’s parents were well up than those of Brian; they bought her a vehicle as a birthday present. Every morning, she would pick up Brian, the love of his life, as they headed to school. Weekends were the best. They went out for ice cream, saw movies, and nurtured the love that grew between them It seemed like a dream if not a joke, as the classmates’ gossiped saying that this was stupid of you. â€Å"Life is short party with everyone, now that you are not yet married,† do you remember the critics? Welcome sweetheart. Sophia has also introduced me to her elder sisters. It was a joyous moment welcoming a young brother into the family. I think our wedding will be the best, following the fact that I have the support from my two sisters and mother. I pray to have a happy family. I wish our father was here. I cannot believe that I get to marry you. They all made fun of us and called it puppy love. We prove that early love is sweet. My mother is happy for us, as they want the best from their son and you now as her daughter, so she promised to support this wedding. Wonderful! I approached my mum privately asking her on how to treat my future husband. She was amused by the question, but it was

Guarani and Nationalism Essay Example | Topics and Well Written Essays - 2500 words

Guarani and Nationalism - Essay Example The country seemed to understand the idea of nationalism being among the first in West collectively. Apart from the nationalism, the country was long ago associated with industrialization, urbanization and modernization due to proper understanding of nationalism at an earlier stage. At the beginning of times in Paraguay, there was widespread racial mixing and contact with limited immigration trends, political isolation and geographic trends that produced a remarkable homogeneous population. These factors prevented the creation of the society that is stratified or the rise of the Spanish-speaking group. Geography and race together with the history repeatedly led to growth of the ethnic and language identity aspects to the foreground of the political life of the nation fostering and fueling the sense of distinctiveness that has not abated at backyard and intrigued and attracted the scholars from abroad. The Paraguay’s identification within its territorial integrity and linguistic patrimony is not recent. The background of the identification dates back to the countrys quest for its independence and the self-governance thereafter. This aspect was intensified by the onslaughts that suffered at the time of the War of the Chaco and the Triple Alliance that brought an abiding appreciation and espousal of its distinctive language and heritage. This allegiance culminated in the year of 1967 when Guarani was then declared the national language of Paraguay. Since then Joan Rubin the time when he did the pioneering work it has been assumed that Paraguay is the most bilingual nation in the world and by far its bilingualism is non-volatile rather than a shifting one (Ethnicity and Nationalism (second edition), 2010). The concomitant with the above phenomenon the two languages are supposed to be predominantly infused with positive effect. The Guarani language is

Stem cell research Essay Example | Topics and Well Written Essays - 1250 words

Stem cell research - Essay Example The article has looked at the benefits of stem cell technology to the human being as well as its dangers (The Century Foundation Press 4). On the benefit side, the stem cells heave been confirmed to have impacts on the everyday human survival. The article talks about the strides that are being made by scientists in the study of embryological development. This involves giving the scientists an understanding of why genetic diseases recur as well as other human abnormalities. The authors also mention the benefits of stem cells to the body including the repair of worn out tissues as well as the growth, development and maintenance of the body (The Century Foundation Press 5). On the other hand, the authors have mentioned the dangers of the stem cells. Here, they have mentioned risks such as low ‘shelf life’ if the cell are contaminated or experience mutation. There is also the danger of adopting adult stem cells, as opposed to embryonic stem cells. The authors state that the risk involves the formation of benign tumors also known as teratomas (The Century Foundation Press 6). While attempting to seek balance, the article is advocating the positives than the negatives. This means that while the article is balanced, it would do well to add more information on the risks of stem cell technology. ... The study has the benefit of allowing scientists to understand how the cells specialize themselves into the more than 200 body cell types (14). The other finding about this part of the article is that the stem cells are also used for medical purposes (The Century Foundation Press 9). This includes allowing doctors to study some diseases and come up with lasting solutions to these problems. Medically, the use of stem cell technology can be a standing solution to the negative effects of drug intake. Generally, when people get debilitating diseases like cancer, they have to take a regime of drugs that help keep the disease in check. However, there is now the chance to alleviate effects of drugs in the body. This is through the use of stem cell technology. The result would be a treatment that is relatively safer and even more natural. Treatment of diseases like cancer will now become much safer and less unpleasant. At the same time, there is the added advantage of the potential to tailor the medicine to the patient’s specific genetic make-up. This thus prevents side effects that are likely to occur with drugs that are generally made. The third finding of this part is that the stem cells are of value therapeutically. This means that people can be able to fix problems such as scars or other deformities that they have thanks to stem cell technology. According to Hayes et al, Hematopoietic cells, which are adult stem cells have for almost four decades been used in the treatment of several diseases (15). These include leukemia, Lymphoma, as well as, other blood disorders. This is, therefore, testament to the safe nature of the stem cells in terms of their use. Apparently Hayes et

Employee Performance Essay Example for Free

Employee Performance Essay The methods presented here are designed to develop elements and standards that measure employee and work unit accomplishments rather than to develop  other measures that are often used in appraising performance, such as measuring behaviors or competencies. Although this handbook includes a discussion of the importance of balancing measures, the main focus presented here is to measure accomplishments. Consequently, much of the information presented in the first five steps of this eightstep process applies when supervisors and employees want to measure results. However, the material presented in Steps 6 through 8 about developing standards, monitoring performance, and checking the performance plan apply to all measurement approaches. A HANDBOOK FOR MEASURING EMPLOYEE PERFORMANCE foreword The handbook has four chapters and three appendices: ⠝™ CHAPTER 1 gives the background and context of performance management that you will need to understand before beginning the eight-step process. ⠝™ CHAPTER 2 defines accomplishments, which is key to using this handbook successfully. ⠝™ CHAPTER 3 includes a detailed description of the eight-step process for developing employee performance plans that are aligned with and support organizational goals. ⠝™ CHAPTER 4 provides study tools, including a followup quiz and a quick reference for the eight-step process. ⠝™ THE APPENDICES contain example standards that were written specifically for appraisal programs that appraise performance on elements at five, three, and two levels. After reading the instructional material, studying the examples, and completing the exercises in this book, you should be able to: ⠝™ DEVELOP a performance plan that aligns individual performance with organizational goals  Ã¢ â„¢ USE a variety of methods to determine work unit and individual  accomplishments ⠝™ DETERMINE the difference between activities and accomplishments ⠝™ EXPLAIN regulatory requirements for employee performance plans P E R F O R M A N C E M A N A G E M E N T: B A C K G R O U N D A N D C O N T E X T emember the story about the naive student in his first English literature course who was worried because he didn’t know what prose was? When he found out that prose was ordinary speech, he exclaimed, â€Å"Wow! I’ve been speaking prose all my life!† Managing performance well is like speaking prose. Many managers have been â€Å"speaking† and practicing effective performance management naturally all their supervisory lives, but don’t know it! Some people mistakenly assume that performance management is concerned only with following regulatory requirements to appraise and rate performance. Actually, assigning ratings of record is only one part of the overall process (and perhaps the least important part). Performance management is the systematic process of: ⠝™ planning work and setting expectations ⠝™ continually monitoring performance ⠝™ developing the capacity to perform ⠝™ periodically rating performance in a summary fashion ⠝™ rewarding good performance The revisions made in 1995 to the governmentwide performance appraisal and awards regulations support â€Å"natural† performance management. Great care was taken to ensure that the requirements those regulations establish would complement and not conflict with the kinds of activities and actions effective managers are practicing as a matter of course. PERFORMANCE MANAGEMENT: BACKGROUND AND CONTEXT PLANNING In an effective organization, work is planned out in advance. Planning means setting performance expectations and goals for groups and individuals to channel their efforts toward achieving organizational objectives. Getting employees involved in the planning process will help them understand the goals of the organization, what needs to be done, why it needs to be done, and how well it should be done. The regulatory requirements for planning employees’ performance include establishing the elements and standards of their performance appraisal plans. Performance elements and standards should be measurable, understandable, verifiable, equitable, and achievable. Through critical elements, employees are held accountable as individuals for work assignments or responsibilities. Employee performance plans should be flexible so that they can be adjusted for changing program objectives and work requirements. When used effectively, these plans can be beneficial working documents that are discussed often, and not merely paperwork that is filed in a drawer and seen only when ratings of record are required. MONITORING In an effective organization, assignments and projects are monitored continually. Monitoring well means consistently measuring performance and providing ongoing feedback to employees and work groups on their progress toward reaching their goals. The regulatory requirements for monitoring performance include conducting progress reviews with employees where their performance is compared against their elements and standards. Ongoing monitoring provides the supervisor the opportunity to check how well employees are meeting predetermined standards and to make changes to unrealistic or problematic standards. By monitoring continually, supervisors can identify unacceptable performance at any time during the appraisal period and provide assistance to address such performance rather than wait until the end of the period when summary rating levels are assigned. MEASURE WHAT IS IMPORTANT—NOT WHAT IS EASY TO MEASURE It is easy to count the number of days since a project began, but if that is all that you measure, is that enough information to assess performance? No, probably not. Or if, for example, a customer service team only measures the number of calls that come into the team (the easy measure) and does not attempt to measure customer satisfaction with its service (the more difficult measure), the team does not have complete information about its performance and has no idea how well it is serving its customers. In addition, because what gets measured gets done, the team will probably focus on how it can increase the number of calls it receives and ignore the quality of service it provides. As a result, organizations need to anticipate the behavioral and unintended consequences of measuring performance. As an example, recently a medical laboratory came under fire because of the errors it made in certain of its cancer tests. A high number of cancer tests that the laboratory had approved as negative turned out to be wrong—cancer had actually been